Individual provider · Type 1 NPI

Joseph Jonathan Youngblood, COUNSELOR

Mental Health Counselor · Fayetteville, NC

NPI number 1710075577 Active

Practice location

1903 Bragg Blvd, Suite 2
Fayetteville, NC 28303-4563

Fax (910) 223-3737

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2902 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X431 (NC)
Mental Health Counselor Primary 101YM0800X2902 (NC)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1710075577

Joseph Jonathan Youngblood, COUNSELOR's National Provider Identifier is 1710075577, issued on Oct 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on May 14, 2008.